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Become a CoMO Member Application - Individual Full Member Form

Please complete this form. If you have any questions regarding completing this form, please contact info@COMOonline.org.

Individual Full Member Application Form

An individual may apply for full membership if he/she meets the following criteria:

He/she is a health professional registered with a relevant professional body recognised within the area in which they practice.

He/she can demonstrate an active involvement in relation to meningitis in his/her area of practice.

A commitment to the objectives of CoMO.

 

Name

E-mail

Website

Postal Address

 

Telephone number with country code

Fax number with country code

 

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